| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
463 |
356 |
$7K |
| A7031 |
Face mask interface, replacement for full face mask, each |
101 |
87 |
$2K |
| E1392 |
Portable oxygen concentrator, rental |
299 |
232 |
$1K |
| E0601 |
Continuous positive airway pressure (cpap) device |
205 |
172 |
$1K |
| A7030 |
Full face mask used with positive airway pressure device, each |
119 |
102 |
$1K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
45 |
38 |
$471.75 |
| E0570 |
Nebulizer, with compressor |
126 |
115 |
$308.36 |
| K0001 |
Standard wheelchair |
44 |
37 |
$255.25 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
93 |
64 |
$133.56 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
145 |
126 |
$116.65 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
37 |
29 |
$78.40 |
| A7035 |
Headgear used with positive airway pressure device |
107 |
94 |
$69.90 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
217 |
179 |
$58.35 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
55 |
50 |
$0.00 |